<h1><img src="./templates/images/icones/Add.png" />&nbsp;Inscription</h1>
<div class='grid_6 prefix_3 suffix_3'>

<form id="start" action="#">

	<h2>Inscription &agrave; Safe Driving</h2>
	<p id="ClientErrorInscription" class="erreur" style="display:none";>
		Tous les champs sont obligatoires !
	</p>
	<p>
		<label for="lastname">Nom</label>
		<input id="lastname" type="text" onchange="cacheId('ClientErrorInscription');"  />
	</p>
	<p>
		<label for="firstname">Pr&eacute;nom</label>
		<input id="firstname" type="text" onchange="cacheId('ClientErrorInscription');" />
	</p>
	<p>
		<label for="adresse">Adresse</label>
		<textarea id="adresse" cols="35" rows="7" onchange="cacheId('ClientErrorInscription');"></textarea>
	</p>
	<p>
		<label for="codepostal">Code Postal</label>
		<input id="codepostal" type="text" onchange="cacheId('ClientErrorInscription');" onkeypress="inputnbuniquement();" />
	</p>
	<p>
		<label for="ville">Ville</label>
		<input id="ville" type="text" onchange="cacheId('ClientErrorInscription');" />
	</p>
	<p>
		<label for="mail">Mail</label>
		<input id="mail" type="text" onchange="cacheId('ClientErrorInscription');" />
	</p>
	<p>
		<label for="phone">T&eacute;l&eacute;phone</label>
		<input id="phone" type="text" onchange="cacheId('ClientErrorInscription');" onkeypress="inputnbuniquement();" />
	</p>
	<p>
		<label for="password">Mot de passe</label>
		<input id="password" type="password" onchange="cacheId('ClientErrorInscription');" />
	</p>
	<p>
		<input type="button" value="M'inscrire" onclick="JS_Client_Inscription();" />
	</p>
</form>
</div>